1991, 02-20 Permit App: 91000633 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE '
SPOKANE,WASHINGTON 99260
(509)456-3675
certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE �` ��— 9/
PROJECT NUMBER== 91 000633 DATE= 02/20/91 PAGE= 04
APPLICATION
•x•****ae•***********x•********** APPLICATION ********************** *******•***
SITE STREET= 14910 E 16TH AVE PARCEL0= 26541 -2803
ADDRESS= VERAI)AL.E WA 99037
PERMIT USE= RESIDENCE W/GARAGE
PLATO== 003474 PLAT NAME= JAN ' S ADD
BLOCK= 195 LOT= 3 /ONE= UR-35 D]:S T4=_ F
AREA= 00000000 0 F/A= F• WIDTH== 100 DEPTH.- 435 Ems'/W• 50
0 OF BL_DGS= i 4 DWELLINGS=
OWNER= ARtISTROMG . KEN PHONE= 509 927 4434
STREET= 1018 S a YI~'REN RD
ADDRESS= VERADALE WA 99037
CONTACT NAME= KEN ARMSTRONG Ev PHONE NUMBER= 509 927 4434
BUILDING SETBACKS : FRONT= 30 LEFT= 24 RIGHT= 10 REAR= 77
** • ****x******* •*• • u•**** *** • REVIEW INFORMATION **********************4,***
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
a-: .-2. _
BUILDING 1�'E....�+�! REVIEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED .___ �__...._....._. _._.
-� . .. ,.. . ..... .... ... . ._.... ._. ..
ENGINEER AP,PROACLOOky.c5INaRA NAI,E: �. . 0 ' _.. C� ZI(�y .. ... .. ..: q/
Hir'r•ALTHDIST' NEW R aD IT'i:O4AL WASTE:: WATER v'� �'viv ._.....- .
*********•********************** BUILDING PERMIT *****************:;•*** •******
CONTRACTOR= OWNE:R . PHONE=
NEW= X RMoDEL_= ADDITION:. CHANGE OF U 'F:=:
DWE.L_l... UNITS=- 1 OCLUP., I. D= 14 DG HGT= STORIES=
BLDG W X D == 66 X 2#3 S(} FTa. 1300 SPRINKLER= N
REQ PARKING= OHAND1CAP'iit CRITICAL. MAT= N
ai****}i******* ********k•*ii*• * •** MECHANICAL.. PERMIT **************:x ***}e•***#°4+*
•
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
•**** • •**********)E********* PLUMBING PERMIT **************iib:**************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
******* •************************ THANK YOU ********r:**********•*****•******x**
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NOTICE
It is the responsibity of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING —when forms and reinforcement are in place and prior to placement of concrete.
NOTE:This inspection includes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zoning regulations.Typically,side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines.In some residential areas,the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The
responsibility to comply with applicable setback provisions lies solely with the permittee— neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines.Please verify their location prior to locating your structure,Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION—when forms and reinforcement are in place and prior to placement of concrete.(Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION — prior to the installation of drywall.
5, PLUMBING —after rough-in, before covering, and final,
O. MECHANICAL—rough-in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL— when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically
depicted on the approved site plan)required by ordinance or as a condition of approval of this permit.Items such
as the installation of fire hydrants,fire department accesson-site drainage("208 swales"),road improvements,
parking,and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drymmU,
concrete, etc., must be inspected prior to cover. Check with the department for "special inapeotiono" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN QRCUM3TANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drivesState or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration.At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain Umimdonu–-p|eunncaU us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it. or find erroneous
information in the permit,please bring it to our attention immediately by filing a written requestfor correction within 10 working
days of discovery.All such requests should be directed to the Department of Buildings at the address found on the face of this
ryz - lag
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Spokane County e (i (a,s-T
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 z4
GLA
INFORMATION WORKSHEET
PARCEL NUMBER: (-/s (/. 91
STREET ADDRESS: ' -1 /}--
CITY/STATE/ZIP:
SUBDIVISIOi1 CIL
BLOCK: /c.- 5 LOT: ZONE: DISTRICT: .
LOT AREA: F/A: WIDTH: /t)p DEPTH: / 35' R/W: 5-6 (2 /
# OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: Vel pili/.Q,
OWNER: ke n 44i S b0 v? PHONE: 5-o9 - y1 7 - yy j y
MAILING ADDRESS: S, /0/ iA 't Y7 at
CITY/STATE/ZIP: G��.�� o (e VVI S , q 0 3 7
CONTACT: PHONE: - -
SETBACKS: - FRONT: 3 p j LEFT: „z$+ ' RIGHT: /a ' REAR: 7 7 "
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: .
CONTRACTOR: /�I/�ttS]�10.1� ( ,,1S/L-,2,eQ 4 PHONE: 5-0 — s---
MAILING ADDRESS: /
ARCHITECT/ENGINEER: ,sc,r- c�k r /0‘,„ ( PHONE: - -
MAILING ADDRESS:
NEW: / REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES: /
BUILDING DIMENSIONS: 6/ X .2 ' (WIDTH X DEPTH) SQ. FT. : /3o®
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
MECHANICAL PERMITAPPLICATION FORM
Information Worksheet,
,.TOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
MECHANICAL WORKSHEET/FEE SCHEDULE
NUMBER X EACH
DESCRIPTION OF UNITS UNIT = AMOUNT
ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) _ _ At x$10.00 = /0
WOODSTOVE/INSERT p x 25.00 =
GAS WATER HEATER / x 10.00 = /0
GAS EQUIPMENT <1000, 000 BTU_ (INCLUDES _ / x 12 .00 = /a
GAS EQUIPMENT +1000, 000 BTU_ _DUCTWORK)_ x 15.00 =
GAS PIPING (EA OUTLET) AtL x 1.00 =
BOILER/REFRIG 1-100M BTU x 12.00 =
BOILER/REFRIG 101-500M BTU x 20.00 =
BOILER/REFRIG 501-1, 000M BTU x 25. 00 =
BOILER/REFRIG 1, 001-1,750M BTU x 35.00 =
BOILER/REFRIG +1,750M BTU x 60.00 =
HEAT PUMP & AIR CONDITIONER 0-3 TONS _ - x 12.00 =
HEAT PUMP & AIR CONDITIONER 3-15 TONS _ x 20.00 =
HEAT PUMP & AIR CONDITIONER 15-30 TONS x 25.00 =
HEAT PUMP & AIR CONDITIONER 30-50 TONS _ x 35.00 =
HEAT PUMP & AIR CONDITIONER +50 TONS _ _ x 60. 00 =
VENTILATING FANS x 10. 00 =
EVAPORATIVE COOLERS x 10. 00 =
TYPE I HOOD (PER 12 ' OR 12 ' PTN. OF HOOD) 410 x 50.00 =
TYPE II HOOD x 10. 00 =
CLOTHES DRYER ; x 10.00 = /0
RANGE / x 10.00 = /0
GAS LOG x 10.00 = /0
MISCELLANEOUS (NOT COVERED ELSEWHERE)_ _ x 10. 00 =
UNLISTED GAS APPLIANCE <400, 000 BTU_ _ x 50. 00 =
UNLISTED GAS APPLIANCE >400, 000 BTU_ _ x100. 00 =
USED APPLIANCE <400, 000 BTU x 50. 00 =
USED APPLIANCE >400, 000 BTU x100. 00 =
AIR HANDLER <10, 000 CFM x 12 . 00 =
AIR HANDLER >10, 000 CFM x 15. 00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35. 00 FEE DUE = $
SIGNATURE
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PLUMBING PERMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER: PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
NUMBER OF X EACH
DESCRIPTION FIXTURES FIXTURE = AMOUNT
TOILETS 2 x $6. 00 =
SINKS _ x 6. 00 =
SHOWERS f x 6. 00 =
BATH TUBS / x 6.00 =
KITCHEN SINKS x 6.00 =
DISH WASHERS / x 6. 00 =
GARBAGE DISPOSAL x 6. 00 =
CLOTHES WASHER ` x 6. 00 =
UTILITY SINKS / x 6. 00 =
ELECTRIC WATER HEATERS x 6. 00 =
FLOOR DRAINS x 6. 00 =
FLOOR SINKS x 6. 00 =
BAR SINKS x 6. 00 =
ROOF DRAINS x 6. 00 =
LAWN SPRINKLER x 6. 00 =
SEWAGE EJECTOR x 6. 00 =
WATER SOFTENER x 6. 00 =
URINAL x 6. 00 =
DRINKING FOUNTAIN x 6. 00 =
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25. 00
EQUALS: TOTAL PERMIT
NOTE: MINIMUM PERMIT FEE IS $35. 00 FEE DUE = $
I I I
SIGNATURE
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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